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Treatment Procedure For Lung transplant
A lung transplant is a surgical procedure to switch a diseased or failing lung with a healthy lung, commonly from a deceased donor.
FREMONT, CA: A lung transplant is only for people who have tried medications or other treatments, but their conditions haven't sufficiently improved.
Based on the Patient's medical condition, a lung transplant may replace one or both lungs. In some cases, the lungs may be transplanted along with a donor's heart.
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While a lung transplant is an essential operation involving many complications, it can significantly improve a patient's health and quality of life.
Unhealthy or damaged lungs can make it hard for a patient's body to get the oxygen it needs to survive. Various diseases and conditions can damage a patient's lungs and keep them from functioning effectively. Some of the more general causes encompass:
• Chronic obstructive pulmonary disease (COPD), including emphysema
• Scarring of the lungs (pulmonary fibrosis)
• Cystic fibrosis
• High blood pressure in the lungs (pulmonary hypertension)
Donor organ Selection
When a donor organ becomes handy, the donor-recipient matching system administered by the United Network for Organ Sharing (UNOS) finds a proper match based on specific criteria, including:
• Blood type
• Size of organ compared with the chest cavity
• Geographic distance between donor organ and transplant recipient
• The severity of the recipient's lung disease
• Recipient's overall health
• The probability that the transplant will be victorious
During the Patient's lung transplant
The procedure will be performed with general anesthesia, so the patient will be unaware and not feel any pain. Then, the Patient will have a tube guided through the Patient's mouth and into the Patient's windpipe so that the Patient can breathe.
The Patient's surgeon will cut the Patient's chest to remove the Patient's damaged lung. The primary airway and the blood vessels between that lung and the Patient's heart will then be connected to the donor's lung. The Patient may be associated with a heart-lung bypass machine for some lung transplants, which circulates the Patient's blood during the procedure.
After the Patient's lung transplant
Instantly after the surgery, the Patient will spend many days in the hospital's ICU(intensive care unit). A mechanical ventilator will support the Patient breathing for a few days, and tubes in the Patient's chest will drain fluids from around the Patient's lungs and heart.
A tube in a vein will supply strong medications to control pain and prevent rejection of the Patient's new lung. As the Patient's condition is better, the Patient will no longer need the mechanical ventilator, and the Patient will be moved out of the ICU. Recovery often involves a one- to a three-week hospital stay. The time Patient will spend in the ICU, and the hospital can vary.
After the patient leaves the hospital, the Patient will need about three months of frequent monitoring by the lung transplant team to prevent, detect, treat complications, and assess the Patient's lung function. Patients commonly need to stay close to the transplant center during this time. Afterward, the sequel visits are usually less frequent, and the Patient can travel back and forth for follow-up visits.
patient's follow-up visits may involve:
• Laboratory tests.
• Chest X-rays.
• An electrocardiogram (ECG).
• Lung function tests.
• A lung biopsy and checkups with an expert.
In a lung biopsy, the Patient's health care provider removes tiny lung tissue samples to test for signs of rejection and infection. This test may be performed during a bronchoscopy, in which the provider inserts a small, flexible tube (bronchoscope) through the mouth or nose into the lungs. A light and a small camera connected to the bronchoscope permit the provider to look inside the lungs' airways. The provider may also use special tools to remove small lung tissue samples to test in a lab.
The Patient's transplant team will monitor the Patient closely and help the Patient manage immunosuppressant medications' side effects. The Patient's transplant team may also monitor and treat infections. For example, a patient's health care provider might prescribe an antibiotic, antiviral or antifungal medications to help prevent infections. The Patient's transplant team may also instruct the Patient on how to help prevent infections at home.
The Patient will also be monitored for any signs or symptoms of rejection. These can include:
• Shortness of breath
• Fever
• Coughing
• Chest congestion
It's essential to let the Patient's transplant team know if the Patient notices any signs or symptoms of rejection.
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